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学科主题临床医学
ADVANCED NURSING EXPERIENCE IS BENEFICIAL FOR LOWERING THE PERITONITIS RATE IN PATIENTS ON PERITONEAL DIALYSIS
Yang, Zhikai; Xu, Rong; Zhuo, Min; Dong, Jie1
关键词Peritonitis nurse training
刊名PERITONEAL DIALYSIS INTERNATIONAL
2012
DOI10.3747/pdi.2010.00208
32期:1页:60-66
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Urology & Nephrology
研究领域[WOS]Urology & Nephrology
关键词[WOS]NURSES ; CARE
英文摘要

Objectives: We explored the relationship between the experience level of nurses and the peritonitis risk in peritoneal dialysis (PD) patients.

Methods: Our observational cohort study followed 305 incident PD patients until a first episode of peritonitis, death, or censoring. Patients were divided into 3 groups according to the work experience in general medicine of their nurses-that is, least experience (<10 years), moderate experience (10 to <15 years), and advanced experience (>= 15 years). Demographic characteristics, baseline biochemistry, and residual renal function were also recorded. Multivariate Cox regression was used to analyze the association of risks for all-cause and gram-positive peritonitis with patient training provided by nurses at different experience levels.

Results: Of the 305 patients, 91 were trained at the initiation of PD by nurses with advanced experience, 100 by nurses with moderate experience, and 114 by nurses with the least experience. Demographic and clinical variables did not vary significantly between the groups. During 13 582 patient-months of follow-up, 129 first episodes of peritonitis were observed, with 48 episodes being attributed to gram-positive organisms. Kaplan-Meier analysis showed that training by nurses with advanced experience predicted the longest period free of first-episode gram-positive peritonitis. After adjustment for some recognized confounders, the advanced experience group was still associated with the lowest risk for first-episode gram-positive peritonitis. The level of nursing experience was not significantly correlated with all-cause peritonitis risk.

Conclusions: The experience in general medicine of nurses might help to lower the risk of gram-positive peritonitis among PD patients. These data are the first to indicate that nursing experience in areas other than PD practice can be vital in the training of PD patients.

语种英语
WOS记录号WOS:000299996200010
引用统计
被引频次:24[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/65225
专题北京大学第一临床医学院_肾脏内科
作者单位1.Peking Univ, Inst Nephrol, Beijing 100034, Peoples R China
2.Minist Hlth China, Key Lab Renal Dis, Beijing, Peoples R China
3.Peking Univ, Hosp 1, Div Renal, Dept Med, Beijing 100034, Peoples R China
推荐引用方式
GB/T 7714
Yang, Zhikai,Xu, Rong,Zhuo, Min,et al. ADVANCED NURSING EXPERIENCE IS BENEFICIAL FOR LOWERING THE PERITONITIS RATE IN PATIENTS ON PERITONEAL DIALYSIS[J]. PERITONEAL DIALYSIS INTERNATIONAL,2012,32(1):60-66.
APA Yang, Zhikai,Xu, Rong,Zhuo, Min,&Dong, Jie.(2012).ADVANCED NURSING EXPERIENCE IS BENEFICIAL FOR LOWERING THE PERITONITIS RATE IN PATIENTS ON PERITONEAL DIALYSIS.PERITONEAL DIALYSIS INTERNATIONAL,32(1),60-66.
MLA Yang, Zhikai,et al."ADVANCED NURSING EXPERIENCE IS BENEFICIAL FOR LOWERING THE PERITONITIS RATE IN PATIENTS ON PERITONEAL DIALYSIS".PERITONEAL DIALYSIS INTERNATIONAL 32.1(2012):60-66.
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